Fried, Michael

Fried, Michael is an individual health care provider with primary practice located at 285 Sills Rd Bldg 16, East Patchogue NY 11772-4808. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fried, Michael can be contacted via phone (631) 758-7575.

Contact Information

Primary practice address
285 Sills Rd Bldg 16 East Patchogue NY 11772-4808
Phone: (631) 758-7575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 128126 New York

Profile Details

NPI number 1851395628
LBN Legal business name Fried, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 19th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851395628 NPPES
New York MEDICAID 01337008

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